Sand Castle Day Care Service

Regulation: 3280.123(a)(3)

Description: Services proceeded

Noncompliance Area: During renewal inspection it was observed that children #2, #3, #4 & #5 did not have an updated child service report on file.

Correction Required: An agreement shall specify the services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information at § 3280.124(f).

Regulation: 3280.124(f)/3280.181(c)

Description: Updated every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: During renewal inspection, child files were reviewed. Child #1 did not have a financial agreement on file. Child #2 & #4's financial agreement was last dated for 5/6/25. Child #3's emergency contact sheet is last dated for 5/6/25. These dates indicate that an update of these documents were not done within the 6-month requirement.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Regulation: 3280.14/3280.20

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During renewal inspection, facility files were reviewed. The facility did not have a continuity of operations policy on file.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3280.17

Description: Liability Insurance

Noncompliance Area: During renewal inspection, facility files were reviewed. The facility did not have liability insurance at the time of inspection.

Correction Required: The legal entity shall have comprehensive general liability insurance to cover all persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

Regulation: 3280.31(e)

Description: Age and training

Noncompliance Area: During renewal inspection, it was observed that Staff #1 did not have documentation of completing 12 hours of annual childcare training.

Correction Required: A staff person shall obtain an annual 12 clock hours of child care training. The 12 hours received will only be counted as a correction for the current inspection year. These hours cannot be counted towards the following inspection year.

Regulation: 3280.31(e)(4)(i)

Description: Age and training

Noncompliance Area: During renewal inspection, staff files were reviewed. Staff #1 was unable to schedule and complete an updated pediatric CPR class prior to expiration.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and CPR. All staff persons shall renew their certification in pediatric first-aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

Regulation: 3280.123(a)(3)

Description: Services proceeded

Noncompliance Area: During renewal inspection it was observed that child #1, #2, and #3 did not have an updated child service report on file.

Correction Required: An agreement shall specify the services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information at § 3280.124(f).

Regulation: 3280.124(f)/3280.181(c)

Description: Updated every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: During renewal inspection, it was observed that child #1 did not have a financial agreement on file at all. Child #2's emergency contact sheet was last dated for 8/10/24. Child #3's emergency contact sheet was last dated for 3/25/24. For both child #2 and #3, their emergency contact sheets were not updated within the 6-month requirement.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Regulation: 3280.14/3280.20

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During renewal inspection, it was observed that Staff person #2 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022. It was also observed that the facility's emergency plan did not have a continuity of operations policy.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3280.151(a)/3280.192(3)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: During renewal inspection it was observed that Staff #2's most recent health assessment on file is dated for 3/14/22. There was not an additional assessment on file. Staff #2 did not obtain a new health assessment within the 24-month requirement.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3280.26(a)(6)

Description: Emergency plan

Noncompliance Area: During renewal inspection, it was observed that the facility did not have any documentation of completing an annual emergency drill on file.

Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Regulation: 3280.31(e)

Description: Age and training

Noncompliance Area: During renewal inspection, it was observed that Staff #1 did not have documentation of completing 12 hours of annual childcare training.

Correction Required: A staff person shall obtain an annual 12 clock hours of child care training. The 12 hours received will only be counted towards the correct, not for next renewal inspection.

Regulation: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During renewal inspection, it was observed that Staff #1's previous State Police Clearance is dated for 2/23/20. An updated clearance was not obtained until 3/30/25. Staff #1's previous Child Abuse Clearance is dated for 3/25/20. An updated clearance was not obtained until 3/30/25. These dates indicate that an updated clearance was not obtained within the 60-month requirement. Staff #2's previous State Police Clearance is dated for 2/22/20. An updated clearance was not obtained until 3/27/25. Staff #2's previous Child Abuse Clearance is dated for 3/5/20. An updated clearance was not obtained until 3/27/25. These dates also indicate that an updated clearance was not obtained within the 60-month requirement.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Regulation: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: During renewal inspection, it was observed that the following dates indicate that fire alarm testing was not done within the 30-day requirement: 6/19/24, 7/22/24, 8/26/24, 9/26/24, 10/15/24, 11/20/24, 12/20/24, 1/24/25, 2/24/25.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

Regulation: 3280.123(a)(3)

Description: Services proceeded

Noncompliance Area: While at the facility unannounced on 4/10/24 for the renewal the inspector found that both child # 1 and child #5 had been in care for over six months and did not have child service reports on file as are required.

Correction Required: An agreement shall specify the services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information at § 3280.124(f).

Regulation: 3280.123(a)(5)

Description: Designated release persons

Noncompliance Area: While at the facility unannounced on 4/10/24 for the renewal the inspector found that child files #2 and #5 did not have specified persons designated by a parent to whom the child may be released as are required.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released.

Regulation: 3280.124(f)/3280.181(c)

Description: Updated every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: While at the facility unannounced on 4/10/24 for the renewal the inspector found that child files #1, #3, and #5 were not updated once in a 6-month period or as soon as there is a change in the information as is required.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Regulation: 3280.14/3280.20

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: While at the facility unannounced for the renewal the inspector reviewed the emergency plan and found that it did not address continuity of operations as was required to be part of the emergency plan by 7/1/22.

Correction Required: While at the facility unannounced for the renewal the inspector reviewed the emergency plan and found that it did not address continuity of operations as was required to be part of the emergency plan by 7/1/22." The OCDEL ANNOUNCEMENT C-22-04 requires facility emergency plans to include continuity of operations during and after an emergency that includes continuing daily operations, backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster.

Regulation: 3280.14/3280.20

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #1 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022. .

Correction Required: Staff person #1 shall complete the required one-hour 2022 update to the health and safety training by 4/25/24.

Regulation: 3280.151(a)/3280.151(c)(2)

Description: 12 months prior to service and every 24 months thereafter/Mantoux TB

Noncompliance Area: Staff person #3 (see LIS code sheet for DOH) did not have a health assessment and TB screening on file at the facility and has been working in direct care with children since hire.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Regulation: 3280.171(a)

Description: Pick up and drop off points

Noncompliance Area: While at the facility unannounced for the renewal the inspector asked to view the annual local traffic authority letter and the primary staff was not able to locate the required document.

Correction Required: The operator shall notify local traffic safety authorities in writing of the location of the facility and about the program's use of pedestrian and vehicular routes around the group child care facility.

Regulation: 3280.192(5)

Description: Two written references

Noncompliance Area: Staff person #3 (see LIS code sheet for DOH) only had one of the two required written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Regulation: 3280.31(e)

Description: Age and training

Noncompliance Area: Staff person #1 (see LIS code sheet for DOH) has not completed the required annual 12 clock hours of childcare training.

Correction Required: A staff person shall obtain an annual 12 clock hours of childcare training.

Regulation: 3280.31(f)

Description: Age and training

Noncompliance Area: Staff person #3 (see LIS code sheet for DOH) has not completed the following required pre-service training within 90 days of their hire: Pediatric first aid and CPR from a PQAS approved trainer and a PQAS approved curriculum.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10 within 90 days of hire. Staff person #3 will have until 4/29/24 to complete the pediatric first aid/CPR training. Until such time as the required training has been completed, staff person #3 must be supervised, when interacting with children, by a Primary Staff who has completed the required training related to this citation. If there are no staff available to supervise staff #3, staff #3 may not work in a child-care position at the facility.

Regulation: 3280.119

Description: Infant sleep position

Noncompliance Area: When the inspector arrived at the facility on 4/5/23 for the unannounced renewal inspection the inspector observed that child #4, who is defined as an infant (see Facility/Child Code Sheet for DOB), in a bounce seat asleep. When staff #2 was asked if the child was allowed to sleep in the bounce seat it was indicated that the infant was allowed to as the parent requested this. It was discussed that the bounce chair is not an approved American Academy of Pediatrics sleeping position.

Correction Required: Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Regulation: 3280.131(b)(2)

Description: Toddler/preschool: updated health report every 12 months

Noncompliance Area: While at the facility on 4/5/23 for the unannounced renewal inspection the inspector reviewed the file for child #2, a preschool aged child, and found that the child last had a health assessment on file dated 12/16/20.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Regulation: 3280.131(d)(5)/3280.131(e)

Description: Immunization record/ACIP recommended immunization record

Noncompliance Area: While at the facility unannounced on 4/5/23 for the renewal inspection the inspector observed the file for child #3 and noted that the child has been enrolled over sixty days and as of 4/5/23 there was no proof of any vaccinations on file at the facility.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

Regulation: 3280.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: While at the facility unannounced on 4/5/23 for the renewal inspection the inspector observed the file for child #1 that the emergency contact form and agreement form were last updated on 4/14/22 and 10/1/21 respectively,

Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Regulation: 3280.182(5)

Description: Consent for administration of minor first-aid required prior to admission

Noncompliance Area: While at the facility unannounced on 4/5/23 for the renewal inspection the inspector observed the file for child #5 and that it was missing the necessary signature for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Correction Required: A child's record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Regulation: 3280.26(a)(3)/3280.26(a)(4)

Description: Contact when arises/Contact when ended

Noncompliance Area: While at the facility on 4/5/23 for the unannounced renewal inspection the inspector reviewed the Emergency Plan and found that it was missing the necessary method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises and method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Correction Required: The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Regulation: 3280.26(a)(5)

Description: Emergency plan

Noncompliance Area: While at the facility on 4/5/23 for the unannounced renewal inspection the inspector reviewed the Emergency Plan and found that it was missing the necessary accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

Correction Required: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

Regulation: 3280.52(c)

Description: Mixed age levels

Noncompliance Area: When the inspector arrived at the facility on 4/5/23 for the unannounced renewal inspection the inspector observed staff #2, alone at the facility, with nine mixed age children with an infant in care, two young toddlers, and seven preschool aged children.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff: child ratio and maximum group size in accordance with the requirements at §3280.52(b). The required staff: child ratios must be maintained at all times.

Regulation: 3280.26(a)(5)

Description: Emergency plan

Noncompliance Area: While at the facility unannounced on 4/22/22 for the renewal inspection the inspector reviewed the emergency plan and noted that there was not any accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions as is required.

Correction Required: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

Noncompliance Area: A renewal inspection occurred at the facility and a review of staff files was conducted. The Child Protective Services Law(CPSL) was revised to include the requirement for the National Sex Offender Registry(NSOR) clearance effective 9/30/2019. The CPSL also states that anyone hired before 9/30/19 had until 7/1/20 to obtain this clearance. The following staff have been employed at the center before 9/30/19 and at the time of inspection the files did not contain the completed NSOR clearance; Staff # 1, Staff # 2, Staff # 3, and Staff # 4. Staff # 1, Staff # 2, and Staff # 3 were working with children during this inspection. Staff # 1 had a mandated reporter dated for 5/20/15 and this training was not updated until 7/22/20. This training was not updated every 60 months per the CPSL.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person # 1, # 2, # 3, # 4, and # 5 may not work in a child care position at the facility.

Noncompliance Area: On the date of this renewal inspection, a review of the facility's fire drill log was conducted. Fire drills documented as occurring on 1/2/19 and 3/5/19, lapsed 60 days.

Correction Required: A fire drill shall be held at least every 60 days. Staff persons, volunteers and children in attendance shall participate in the fire drill and shall exit the facility, weather permitting.

Noncompliance Area: On the date of this inspection, a physical site review was conducted. At that time, Child # 1 was found sleeping in a pack and play propped up on a boppy pillow sleeping with toys attached to the pack and play. The file of Child # 1 was reviewed and did not contain medical documentation that the child was to sleep in an elevated position with a pillow or toys to be attached to the crib.

Correction Required: Toys, bumper pads, or pillows may not be present in a crib while an infant is sleeping in the crib. Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Noncompliance Area: On the date of this inspection, a review of staff files was conducted. Staff file # 1 had a date of hire of August 2018 and the file was missing documentation that the staff participated in a tuberculosis screening. It was reported that Staff # 1 has worked with children since the listed date of hire.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Noncompliance Area: On the date of this inspection, a review of staff files was conducted. Staff file # 1 had a date of hire of August 2018 and the file was missing two letters of written reference. It was reported that Staff # 1 has worked with children since the listed date of employment.

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person

Noncompliance Area: On the date of this inspection, a review of staff files was conducted. Staff file # 1 had a hire date of August 2018 and the file was missing proof of education and verification of child care experience prior to employment with this facility. Staff # 1 is unable to be appropriately qualified for a position at the facility without the educational and experience documentation. It was reported Staff # 1 has worked with children since their hire date.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing.A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: THERE IS MULCH ON THE OUTDOOR PLAY SPACE LESS THAN 1 INCH IN DIAMETER USED WITH CHILDREN THAT STILL PLACE OBJECTS IN THEIR MOUTHS.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.